Personal Banking

Account Activation Form

To: HSBC Bank (Singapore) Limited

I hereby request and authorise HSBC Bank (Singapore) Limited (“HSBC” or the “Bank”) to activate the following accounts.

Section A*
* Please submit a copy of your NRIC (front and back)/ Passport, and sign the copy for verification purposes.
* For Joint-AND accounts, all Joint Account Holder’s signature(s) are required.
c All my Sole Accounts c All my Joint Accounts in the name of:
c Selected Account(s) listed below:
A/C no. - - A/C no. - -
A/C no. - - A/C no. - -

Section B (Where applicable)

1) Reasons for activating the account(s):
2) Purpose of Account:
c Personal/Household Expenses c Savings and Wealth Accumulation c Loan Servicing
c Salary Crediting c Others, please specify:
3) Source of ongoing funding:
4) Is the ongoing funding from third party (other than joint account holder)? c Yes c No
If Yes, please complete the following:
Full name: Former/Other names:
Date of birth: Nationality(ies):
Country/City of residence:
Rationale of funding arrangement:
Relationship to account holder:
5) Do you intend to make or receive regular international payment? c Yes c No
If Yes, please complete the following: Credit Debit
Approximate value of payments (S$/month)
Number of transactions/month
Purpose of receiving payments and from which country(ies)
Purpose of making payments and to which country(ies)

Declaration
I am aware that there will be a set of debit and credit transactions to effect the activation and that this request for activation is
subjected to the Bank’s verification and approval.

Signature of Account Holder Signature of Joint Account Holder

Full name Full name

NRIC/ Passport no. NRIC/ Passport no.
Contact no. Contact no.
Date Date
HBSP/ CVM/ WEL/ TB/ PAY002

For Bank use only

Customer no. -
Customer no. -

Data Protection Policy

The personal data you are submitting is being collected for the purposes stated in HSBC’s Data Protection Policy, a copy of which may be found at
http://www.hsbc.com.sg/1/2/miscellaneous/privacy-and-security.

Issued by HSBC Bank (Singapore) Limited (Company Registration No. 201420624K). Effective 1st Nov 2017